49D2039307 CLIA NUMBER - RACEWAY DIALYSIS CENTER

Laboratory Demographics

  • CLIA Code: 49D2039307
  • Facility Name: RACEWAY DIALYSIS CENTER
  • Facility Address: 500 EAST LABURNUM AVENUE, SUITE 3
    RICHMOND, VA
    ZIP 23222
  • Facility Phone: 804 228-9990
  • Facility Type: End Stage Renal Disease Dialysis Facility
  • Facility Type: Waiver
  • Lab Director: WALID G. ABOU ASSI
  • NPI Number: 1417221185
  • Taxonomy: 261QE0700X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 49D2039307
LAB Type End Stage Renal Disease Dialysis Facility
Facility Name RACEWAY DIALYSIS CENTER
Street 500 EAST LABURNUM AVENUE, SUITE 3
City RICHMOND
State VA
ZIP 23222
Phone 804 228-9990
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type End Stage Renal Disease Dialysis Facility
Lab Director WALID G. ABOU ASSI

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This page was last updated on: 6/4/2025